Vericle Hiring for Medical Billing ERA Enrollment Team Lead/Manager – Work From Home at Delhi, Delhi Full Time

Vericle is a rapidly growing Health IT and Revenue Cycle Management (RCM) service company. We are looking for a full-time self-motivated, driven, and experienced ERA Enrollment Team Lead to build and grow an ERA service for about 1,000 medical billing service clients.

RESPONSIBILITIES

Manage and Direct ERA Enrollment Process

Work with RCM Team Leads to identify and prioritize enrollment requests

Identify and troubleshoot enrollment process delays and errors

Set up monthly, weekly, and daily goals for individual and team productivity, and quality

Direct, delegate, and verify daily work for each team member

Build quality assurance processes for flawless enrollment submission and completion

Build and Maintain an Enrollment Management Team

Participate in the ERA team member hiring process by interviewing candidates

Build candidate skill-testing surveys

Perform timely and constructive team member performance reviews

Train your Team Members

Maintain meritocracy and determine the monthly Profit-Sharing Award for the members of your team

Prepare and Post Periodic Reports

Enrollment backlog aging report by RCM pools and payers

Enrollment department revenue

Individual and team productivity and quality

Manage Enrollment Team Production

Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments

Perfect provider experience and achieve the shortest turnaround time

Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability

Send clients a complete checklist of all the documents required to file the ERA enrollment applications.

Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network

Follow-up regularly and frequently on enrollment application status until the contract comes through.

Set up and maintain CAQH / PECOS

Manage Team’s Knowledge Base

Create and maintain Standard Operating Process (SOP) Manuals

Document and disseminate solutions at weekly team meetings

QUALIFICATIONS

Team management experience

Five years experience in US-based AR follow-up, Insurance, and benefits verification with hands-on experience in Credentialing and ERA Enrollment

Familiar with US medical insurance industry and insurance claims processing requirements

Experience in closely working with various clearinghouses and medical billing software

Understand CMS-1500 and UB-04 claim formats

Excellent listening, communication, and problem-solving skills

Self-motivated and able to work autonomously

Strong interpersonal and communication skills

College degree

MUST HAVE

High comfort level working on Eastern Time Zone/US Shift

Good internet access at home

Mobile Hotspot

Laptop/Desktop of at least 8 GB